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Questions and Answers
What is the primary focus of Nightingale's Environmental Theory?
What is the primary focus of Nightingale's Environmental Theory?
Who is credited with founding the American Red Cross?
Who is credited with founding the American Red Cross?
What was a significant development in nursing education in the early 20th century?
What was a significant development in nursing education in the early 20th century?
Who was the first educated African American nurse?
Who was the first educated African American nurse?
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What is a key aspect of the Quality and Safety Education for Nurses (QSEN) initiative?
What is a key aspect of the Quality and Safety Education for Nurses (QSEN) initiative?
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Who was the first practicing epidemiologist?
Who was the first practicing epidemiologist?
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What was a significant development in nursing research and practice in the 20th century?
What was a significant development in nursing research and practice in the 20th century?
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What is the primary focus of the nurse's role in responding to the needs of patients?
What is the primary focus of the nurse's role in responding to the needs of patients?
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What is the primary benefit of having knowledge of the history of the nursing profession?
What is the primary benefit of having knowledge of the history of the nursing profession?
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Which of the following is NOT a role of the nurse?
Which of the following is NOT a role of the nurse?
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What is the primary focus of the Advocacy standard of professional performance?
What is the primary focus of the Advocacy standard of professional performance?
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Which of the following is an example of a Clinician role in career development?
Which of the following is an example of a Clinician role in career development?
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What is the primary focus of the Quality of Practice standard of professional performance?
What is the primary focus of the Quality of Practice standard of professional performance?
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Which of the following is an example of a role of the nurse in the Nursing Process?
Which of the following is an example of a role of the nurse in the Nursing Process?
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What is the primary goal of evidence-based practice in healthcare?
What is the primary goal of evidence-based practice in healthcare?
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What is the purpose of Nurse Practice Acts (NPAs)?
What is the purpose of Nurse Practice Acts (NPAs)?
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What is the primary focus of quality improvement in healthcare?
What is the primary focus of quality improvement in healthcare?
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What is the typical education pathway for a Professional Registered Nurse?
What is the typical education pathway for a Professional Registered Nurse?
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What is the purpose of licensure in nursing?
What is the purpose of licensure in nursing?
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What is the primary focus of informatics in healthcare?
What is the primary focus of informatics in healthcare?
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What is the purpose of continuing and in-service education in nursing?
What is the purpose of continuing and in-service education in nursing?
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What is the primary goal of safety in healthcare?
What is the primary goal of safety in healthcare?
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What is the typical duration of a 4-year bachelor's degree program in nursing?
What is the typical duration of a 4-year bachelor's degree program in nursing?
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What is a key aspect of professional nursing practice?
What is a key aspect of professional nursing practice?
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What is a characteristic of an expert nurse, according to Benner?
What is a characteristic of an expert nurse, according to Benner?
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What does the American Nurses Association (ANA) define as part of professional practice?
What does the American Nurses Association (ANA) define as part of professional practice?
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What is the purpose of the 'Nursing Process' model?
What is the purpose of the 'Nursing Process' model?
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What is a characteristic of a competent nurse, according to Benner?
What is a characteristic of a competent nurse, according to Benner?
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What is essential for professional nursing practice?
What is essential for professional nursing practice?
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What is a key aspect of the Scope of Professional Nursing Practice?
What is a key aspect of the Scope of Professional Nursing Practice?
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Which of the following challenges facing nursing is related to the demographics of the population?
Which of the following challenges facing nursing is related to the demographics of the population?
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What is the primary focus of primary health care?
What is the primary focus of primary health care?
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Which level of health care is focused on reducing and controlling risk factors for disease?
Which level of health care is focused on reducing and controlling risk factors for disease?
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What is the purpose of discharge planning in secondary and tertiary care?
What is the purpose of discharge planning in secondary and tertiary care?
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Which level of health care includes rehabilitation and extended care facilities?
Which level of health care includes rehabilitation and extended care facilities?
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What is the purpose of continuing care?
What is the purpose of continuing care?
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Which of the following is NOT a level of health care?
Which of the following is NOT a level of health care?
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What is the primary focus of health promotion programs?
What is the primary focus of health promotion programs?
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Which level of health care includes hospitals and mental health facilities?
Which level of health care includes hospitals and mental health facilities?
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What is the primary benefit of integrated health care delivery?
What is the primary benefit of integrated health care delivery?
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Study Notes
Florence Nightingale
- Established the first nursing philosophy, known as Nightingale's Environmental Theory, which focuses on health maintenance and restoration through improving a patient's environment (ventilation, light, reduced noise, hygiene, and nutrition).
- Organized the first program for training nurses.
- Was the first practicing epidemiologist.
- Improved sanitation in battlefield hospitals.
- Her practices remain a basic part of nursing today.
Historical Influences
- Clara Barton was the founder of the American Red Cross.
- Dorthea Lynde Dix organized hospitals during the Civil War.
- Mary Ann Ball (Mother Bickerdyke) helped Dix during the Civil War.
- Harriet Tubman was part of the Underground Railroad Movement.
- Mary Mahoney was the first educated African American nurse.
- Isabel Hampton Robb was involved in the American Nurses Association (ANA) and the American Journal of Nursing.
- Lillian Wald opened the Henry Street Settlement.
- Mary Brewster also opened the Henry Street Settlement.
Twentieth Century
- There was a movement towards scientific, research-based practice and a defined body of knowledge.
- Nurses assumed expanded roles.
- In 1906, Mary Adelaide Nutting was instrumental in moving nursing education into universities.
- In the 1920s, nursing specialization began.
- In 1990, the ANA established the Center for Ethics and Human Rights.
- In 1994, the University of Washington Medical Center became the first Magnet-designated organization.
Twenty-First Century
- Nurses are revising nursing practice and school curricula to meet the ever-changing needs of society.
- This includes accommodating an aging population, cultural diversity, bioterrorism, emerging infections, and disaster management.
Contemporary Influences
- The importance of nurses' self-care is emphasized.
- Health care reform and costs are a concern.
- Demographic changes and medically underserved populations are also significant.
Trends in Nursing
- Evidence-based practice is essential.
- Quality and Safety Education for Nurses (QSEN) is a key aspect.
- The impact of emerging technologies, genomics, and public perception of nursing are also significant.
- The impact of nursing on politics and health policy is growing.
Quality and Safety Education for Nurses (QSEN)
- Patient-centered care recognizes the patient or designee as the source of control and full partner in providing compassionate and coordinated care.
- Teamwork and collaboration involve functioning effectively within nursing and interprofessional teams.
(ANA) Standards of Professional Performance
- Ethics are essential.
- Advocacy and respectful and equitable practice are important.
- Communication, collaboration, and leadership are also key.
- Education, scholarly inquiry, and quality of practice are vital.
- Professional practice evaluation, resource stewardship, and environmental evaluation are also significant.
Professional Responsibilities and Roles
- Autonomy and accountability are essential.
- Nurses take on roles as caregivers, advocates, educators, communicators, managers, and researchers.
Career Development
- Nurses can pursue careers as clinicians, advanced practice registered nurses, nurse educators, nurse administrators, and nurse researchers.
American Nurses Association (ANA)
- Professional practice includes knowledge from social and behavioral sciences, biological and physiological sciences, and nursing theories.
- Nursing practice incorporates ethical and social values, professional autonomy, and a sense of commitment and community.
(ANA) Standards of Practice
- Also known as the "Nursing Process", a model for clinical decision making.
- Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values.
QSEN
- Quality improvement involves using data to monitor the outcomes of care processes and improvement methods.
- Safety involves minimizing risk of harm to patients and providers.
- Informatics involves using information and technology to communicate, manage knowledge, mitigate error, and support decision making.
Professional Registered Nurse Education
- Prelicensure education options include 2-year associate's degrees and 4-year bachelor's degrees.
- Graduate education options include master's degrees for advanced practice RNs and doctoral preparation.
- Continuing and in-service education are also essential.
Nursing Practice
- Nurse Practice Acts (NPAs) regulate scope of nursing practice and protect public health, safety, and welfare.
- Licensure and certification are required, with licensure involving the NCLEX-RN examination and certification requirements varying.
Health Care Delivery System
- Four significant challenges facing the nursing profession include:
- The aging baby boomer generation
- The shortage and uneven distribution of physicians
- The rate of nurses' retirements
- The uncertainty of health care reform
Levels of Health Care
- Traditional levels of health care include:
- Preventative care
- Primary care
- Secondary care
- Tertiary care
- Restorative care
- Continuing health care
Integrated Health Care Delivery
- Primary and preventive health care services aim to:
- Improve health outcomes for entire populations
- Require collaboration among health professionals, leaders, and community members
- Reduce disease incidence through health promotion programs
- Control risk factors for disease through preventive care
Secondary and Tertiary Care
- Services provided in secondary and tertiary care settings include:
- Hospital care
- Intensive care
- Mental health facilities
- Rural hospitals
- Discharge planning
Restorative Care
- Restorative care services include:
- Home care
- Rehabilitation
- Extended care facilities
Continuing Care
- Continuing care services include:
- Nursing centers or facilities
- Assisted living
- Respite care
- Adult day care centers
- Palliative and hospice care
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Description
Discover the contributions of Florence Nightingale, the founder of modern nursing. Learn about her nursing philosophy, training programs, and impact on healthcare.